Patient Access Rep - PRN

St. Mary's Health Care System; Lavonia (GA); On-site; USD 22,000 - 33,000; Part time

Job summary

St. Mary’s Health Care System is seeking a Part-time PRN Patient Access representative to join our hospital team. The role requires availability for morning, evening, weekend, and potentially overnight shifts, with 12-hour shifts as needed.

Experience in patient access or healthcare is a plus. Primary duties include patient registration, insurance verification, and handling payments. This position offers flexible weekly hours and no traditional benefits aligned with this role.

Qualifications

• High school diploma or equivalent.
• Customer service experience preferred.
• Registration/insurance verification experience a plus.

Responsibilities

• Provide patient-focused service at registration and information desks.
• Perform outpatient & inpatient registration and insurance verification tasks.
• Collect patient financial liability payments and ensure eligibility and coverage requirements are met.

Skills

Customer service

Computer skills

Healthcare exp

Education

High school diploma or equivalent

Job description

Employment Type: Part timeShift:Description:

Schedule: This positions REQUIRES being available to work in the morning, evenings, weekends and possibly overnights. Being available to work 12 hours shifts is a must.

• Customer Service exp.
• Great computer skills.
• Healthcare exp. a plus!
• PRN position (weekly work hours vary from week to week)

Purpose

This position is a part time; PRN with open availability which includes through the week as well as weekends.

There are no benefits that is aligned with this position.

Provides patient focused customer service. Performs outpatient & / or inpatient registration & insurance verification functions; collects patient financial liability payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information to hospital users, patients, families & physician offices.

Note: “patients” refers to patients, clients, residents, participants, customers, members

Essential Functions

Our Trinity Health Culture : Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
Work Focus :
Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution.
Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
Responsible for distribution of analytical reports.
Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
Data Management & Analysis :
Research & compiles information to support ad-hoc operational projects & initiatives.
Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.

Functional Role (not inclusive of titles or advancement career progression)

PAR I

Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.

PAR II

Performs PAR I role & is cross trained & performs activities in Pre-Service, Emergency Department & / or Bed Desk. Additional minimum qualifications: Minimum of two (2) years hospital registration or insurance verification experience upon hire. Knowledge of medical terminology, diagnostic coding & procedural coding required. Ability to explain insurance benefits.

Patient Access Account Specialist

Additional minimum qualification of two plus (2+) years hospital registration or insurance verification experience.

Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization’s strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge. Responsible for analyzing, processing & editing for correctness based on payer guidelines. Resolves items & ensures claims are billed accurately. Processes payments timely.

Minimum Qualifications

High school diploma or equivalent.

HFMA CRCR or NAHAM CHAA required within one (1) year of hire.

Additional Qualifications (nice to have)

Medical terminology required & knowledge of diagnostic & procedural coding

Insurance verification with the ability to explain benefits, secure necessary authorization

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.